2012-494 ..41101h TOWN OFQ UEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20120494 Date Issued: Monday, January 07, 2013
This is to certify that work requested to be done as shown by Permit Number P20120494
has been completed.
Location: 19 ELDRIDGE Rd
Tax Map Number: 523400-295-014-0001-028-000-0000
Owner: JOHN ROZELL
Applicant: JOHN ROZELL
This structure may be occupied as a:
Residential Addition By Order of Town Board
TOWN OF QUEENSBURY
�aii5t
Issuance of this Certificate of Occupancy DOES NOT relieve the property
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20120494 Application Number: A20120494
Tax Nlap No: 523400-295-014-0001-028-000-0000
Permission is hereby granted to: JOHN ROZELL
For property located at: 19 ELDRIDGE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: JOHN ROZELL
19 ELDRIDGE Rd Residential Addition $34,000.00
QUEENSBURY,NY 12804-0000 Total value $34,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
QUALITY BUILDERS
KEVIN HANNA-696-4753
NY
Plans&Specifications
2012-494
Res. addition-400 sq ft basement
$100.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 23,2013
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queenshury before the expiration date.)
Dated at the Town of Queensbury; Tuesday,October 23,2012
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
rfL�� �. j OFFICE USE ONLY
1
TAX MAP NO. ,/•I ,1)- ( PERMIT NO. r��d- 4J Date
f
FEES: PERMIT /1 I REATION ENGINEERING O � 1. tomp
r
(If applicable)
PRINCIPAL STRUCTURE:
APPLICATION FOR ZONING APPROVAL & BUILDING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. APPLICATION IS SUBJECT TO REVIEW
BEFORE ISSUANCE OF A VALID PERMIT FOR CONSTRUCTION.
APPLICANT/BUILDER: (UC�(i�t'� iUi {dci) )4c.. OWNER: LA 1`. 6Z-al :
ADDRESS: 26 5V i(-- Ci CC(e-- CAIS Liz-cc-AL,WADDRESS: ) 7 6'4,4 12-(4. aem)1c-X N
PHONE NOS. S---1 g -361-3 3 C y
PHONE NOS.' II `760 `622 -O 17 3
CONTACT PERSON FOR BUIL``DING/& CODES COMPLIANCE: J J i A J1 1.AA- PHONE: �I 3 •3.I :336 Y
)
LOCATION OF PROPERTY: Oki<< c1 L. QuL!{ sLa < N Y i Z'SO/
HAS THERE BEEN A SITE PLAN REVIEW; VARIANCE OR SUBDIVISION APPROVAL? ❑ YES ❑ NO
IF SO, INDICATE APPLICATION NO. AND DATE OF APPROVAL:
PLEASE INDICATE MEASUREMENTS AS REQUIRED BELOW:
CHECK ALL THAT z
APPLY TO YOUR Z x d 0 1-
PROJECT 0 LIJ w (/)
w
QQ O
0 W O u- 0 • w -1 O = 2
1- u 2 — z
u_ Q
Z < ¢ :- (/) c� O LL O F- Cr w Z
F- u- 4- Z 06
SINGLE FAMILY bb tio0 i/c1) F4
TWO-FAMILY
MULTI-FAMILY
(NO. of UNITS )
TOWNHOUSE
BUSINESS OFFICE
RETAIL-
MERCANTILE
FACTORY OR
INDUSTRIAL
ATTACHED
GARAGE(1,2,3)
OTHER
IF COMMERCIAL OR INDUSTRIAL-NAMEOF BUSINESS:
ESTIMATED CONSTRUCTION COST: $'3,`7/ 63°' 6(5 FUEL TYPE: /V
HEAT TYPE: Oe-c-4-(CC *HOW MANY FIREPLACE(S): AAA-- AND/OR WOODSTOVES(S): ALA--
ZONING CATEGORY:12e.51'cLA-41`4 ARE THERE WETLANDS ON THIS SITE? ND •
IS THIS A HISTORIC SITE? NO-
PROPOSED USE OF BUILDING OR ADDITION: r�M ►• fes/ 17-6 O"
*Please complete a separate Application for"Fuel Burning Appliances/& Chimneys"available in our office
B 3-LGL 11-05
(14.:
ARE THERE STRUCTURES NOT SHOWN ON PLOT PLAN?
ARE THERE EASEMENTS ON PROPERTY?
I acknowledge no construction activities shall be commenced prior to issuance of a valid
permit. I certify that the application, plans, and supporting materials are a true and
complete statement/description of the work proposed, that all work will be performed in
accordance with the NY State Building Codes, local building laws and ordinances, and in
conformance with local zoning regulations. I acknowledge that prior to occupying the
facilities proposed, I or my agents will obtain a certificate of occupancy. I also understand
that I/we are required to provide an as-built survey by a licensed land surveyor of all newly
constructed facilities prior to issuance of a certificate of occupancy.
I have real, -nd agrie to - above.
Signed '`"
Director of Building & Codes: 761-8256 (for questions regarding Building Permits, construction codes
or septic systems)
Zoning Administrator: 761-8218 (for questions regarding required permits, the permit process,
application requirements or to schedule an appointment)
Permission is hereby granted to the above This application / proposed action described
Applicant to erect or alter the building herein is found to be in accordance with the _
described herein in accordance with said zoning Laws of the Town of Queensbury.
Application:
/iI
BUIL" c : CODES A--�"O AL ZONING APPROVAL
// . I,-
DATE DATE
QUESTIONS? CALL 761-8256 OR EMAIL
codesna.Queensbury.net
Office Use Only
VISIT OUR WEBSITE FOR MORE INFORMATION
Operating Permit Issued: Yes No www•queensbury.net
Occupancy Type: Construction Classification:
Assembly Occupancy Limit: Special Conditions:
Queensbury Building & Code Enforcement - Residential Final Ih pection
Office No. (518) 761-8256 Arrive: amlp art: am/pm
Date Inspection request received: Inspector's Initials: �I
NAME: RD 2-64/
41
> PERMIT#: f - ��
LOCATION: / cf !�( r d 1 EJB DATE: I -
TYPE OF STRUCTURE:
Comments:
Yes No N/A
4" Building Number Address visible from road
Chimney Height/"B"Vent/Direct Vent Location
Fresh Air Intake
3 inch Plumbing Vent through roof minimum 18 inches
Roof Complete/Exterior Finish Complete
Platform at all exterior doors
Handrail 4 or more risers
Guards at stairs,decks,patios more than 30 inches above grade
Guard at stairwell at 34 inches or more
Guard at deck,porches 36 inches or more
Handrail Termination at Newell Post or Wall
Interior/Exterior Railings 34 inches to 38 inches
Deck Bracing/Handicapped Ramp Compliant
Grade away from foundation 6 inches with 10 feet
6 inch clearance to sill plate
Gas Valve shut-off exposed/regulator 18 inches above grade
Interior privacy/trim/doors/main entrance 36 inches
Bathroom/Kitchen watertight
Safety glazing/Window in stairwells safety glazing
Interior Smoke Detectors/Carbon Monoxide Detectors
Every level: Every Bedroom:
O
Outside every bedroom area: �-�-
Inter Connected: Battery backup: / (24-‹"T
Attic access 30 inches x 22 inches x 30 inches(height)in accessible area
Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents
Bathroom Fans,if no window
Plumbing fixtures
Foundation insulation to floor/Sticker on Panel
Duct work sealed properly/Blower Door Test Certification
Floor truss,draft stopping finished basement 1,000 sq.ft.
Emergency egress below grade
Gas Furnace shut-off within 30 feet or within line of site
Oil Furnace shut-off at entrance to furnace area
Furnace/Hot Water Heater operating
Low water shut-off boiler
Relief Valve(s)installed/Heat Trap/Water Temp 110
Enclosed Stairs Sheetrock Underside minimum W Gypsum
Basement stairs closed rise>4 inches
Garage Floor Pitched
Garage fireproofing/'/hour fire door/door closer
Gas Logs in Sealed or Glass Enclosure
Final Electrical; Energy Saving Light Bulbs 50%
Final Survey Plot Plan
Arc Fault Breaker Habitable Spaces/Tamper Proof Receptacles
Flex Gas Pipe Bonding
As Built Septic System/Sewer Dept. Inspection Sticker f/
Site Plan /Variance required ,-,
Flood Plain Certification, if required
Okay to issue C/C or C/O[Temporary/Permanent]
L:1Building&Codes Forms1Building&Codesllnspection Fomis\Residential Final Inspection Form_revised_100405.doc;Revised
January 7,2008; Revised 6/26/08; Revised 12/22/10, Revised 04/13/11
(3 : )
Rough Plumbing / Insulation Inspection Report
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building & Code Enforcement Arrive: am/pm Depart: NA\c am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials:
NAME: f , - PERMIT #: /a v"iqV
LOCATION: / q9 c r I..dj E _ INSPECT ON: /d- tr7-T14
TYPE OF STRUCTURE:
Y N NIA
Rough Plumbing / Nail Plates
Plumbing Vent I Vents in Place
1 '/Z inch minimum Drain Size
Washing_Machine Drain 2 inch minimum
Cleanout every 100 feet I change e of direction
Pressure Test
Drain /Vent
Air/Head
5 P.S.I. or 10 ft. above highest connection for 15 minutes
Pressure Test
Water Supply Piping
Air/Head
50 P.S.I for 15 minutes
Insulation I Residential Check/ Commercial Check16/
Tyvek or Similar Exterior Sealant
Proper Vent, Attic Vent + '
Door/Window Sealed (No Insulation)
Duct/ Hot Water Piping Insulation
If required unheated spaces
Combustion Air Supply for Furnace
Duct work sealed properly/ No duct tape
COMMENTS:
d44 )1/4-}j
Rough Plumbing Insulation Report.revised Nov 17 2003, revised February 15,2005, revised January 7, 2008
Framing / Firestopping Inspection Report L'ul /t
Office No. (518) 761-8256 Date Inspection request received:
Queensbury Building &Code Enforcement Arrive: _am/pm, -Depart:i y� , am/pm
742 Bay Road, Queensbury, NY 12804 Inspector's Initials X 414\
NAME: D 2- el PERMIT#: /, ""<riy"
LOCATION: / V. ic-1 J INSPECT ON: i . — . 0461
TYPE OF STRUCTURE: Ad a i `4-i o n
r`
Y /
)N MIA COMMENTS:
Framing
Attic Access 22" x 30" minimum _
Jack Studs/ Headers -
Bracing /Bridging
Joist hangers
Jack Posts/Main Beams
Exterior sheeting nailed properly
12" O.C.
Headroom 6 ft. 8 in.
Stairwells 36 in. or more
Exterior Deck Bracing
Headroom 6 ft. 8 in.
Notches/Holes/ Bearing Walls
Metal Strapping for Notches Top Plate
1 % (w) 16 gauge (8) 16D nails each side
Draft stopping 1,000 sq. ft. floor trusses
Anchor Bolts 6 ft. or less on center
Ice and water shield 24 inches from wall `
Fire separation 1, 2, 3 hour
Fire wall 2, 3, 4 hour
Firestopping
Penetration sealed
16 inch insulation in cavity mica.
Garage Fire Separation
House side '/2 inch or 5/8 inch Type X
Garage side 5/8 inch Type X
Ceiling/wall
Windows Habitable Space / Bedrooms
24 in. (H)
20 in. (W)
5.7 sf above/ below grade
5.0 sf grade
L:1Building&Codes Fomes-OLD\Bui ding&CodesUnspection Farms\Framing Firestopping Inspection Report.doc Revised January 7,2008
ut) a -y
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection reque -ceived:
Queensbury Building&Code Enforcement Arrive:,.! Y) (pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:
NAME: �l L� 2 c f J PERMIT#: ` I 9/
LOCATION: /67 P) cl r I'd(' c INSPECT ON: /2.' /
TYPE OF STRUCTURE: e
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
(-22)
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
—Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received: 17-/c/72----
Queensbury Building&Code Enforcement Arrive: am/pm Depart: I,5 ;Ka-m/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials: (v
c
NAME: Y n` PERMIT#: L
LOCATION: Cf << ;/c INSPECT ON:
TYPE OF STRUCTURE: ( & ; f)
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place / C ,
A.
Footing Dowels or Keyway in place rL�
Foundation Dampproofing
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
l:\Building&Codes Forms\Building&Codes\Inspectlon Forms\Foundatlon Inspection Report.doc
last printed 12/20/2005 9:24:00 AM
NlyndQ (
Foundation Inspection Report
Office No.(518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/pm Depart: am/pm
742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials:e c ' 7
NAME: PERMIT#: / '��� /
LOCATION: di j cl c; c. INSPECT ON: / J
TYPE OF STRUCTURE: [k 5 .4H
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wailpour
Reinforcement in Place
Footing Dowels or Keyway in place
Foundation Dampproofmg
Foundation Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil poly for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc
Last printed 12/20/2005 9:24:00 AM